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Once in liver, aflatoxin B1 is metabolized by microsomal enzymes cytochrome P-450 3A4 to different metabolites through hydroxylation, hydration, demethylation and epoxidation

Your strategy: Fiber increase (gradually!): Add 5g fiber per week until you reach 25-38g daily Best sources: beans, oats, berries, leafy greens, chia seeds, flax seeds Don't rush ittoo much fiber too fast worsens bloating Hydration is critical: Aim for 8-10 cups of water daily Warm beverages in the morning can stimulate digestion Consider psyllium husk with plenty of water Movement matters: Even a 10-minute walk after meals helps Regular physical activity stimulates gut motility Managing Reflux and Heartburn When food sits in your stomach longer, reflux can become an issue

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Checklist to evaluate readiness for cosmetic surgery or treatments: Weight stable for 612 months Medical clearance from primary care and relevant specialists No untreated nutritional deficiencies or unmanaged chronic disease Realistic expectations documented and discussed with surgeon Can you take time off work and support be arranged during your recovery